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Zhonghua Wei Chang Wai Ke Za Zhi. 2012 Dec;15(12):1244-6.

[Colonoscopic restoration for sigmoid vovulus in the elderly].

[Article in Chinese]

Author information

  • 1Department of Colorectal Surgery, The Second Military Medical University, Changhai Hospital, Shanghai, China.

Abstract

OBJECTIVE:

To investigate the emergency therapeutic strategy for sigmoid vovulus in the elderly.

METHODS:

Clinical data of 14 elderly patients with sigmoid vovulus were analyzed retrospectively.

RESULTS:

The mean age was(79.1±7.2) years(range, 70-93), and 11 patients (78.6%) were male. Emergency decompression and restoration with colonoscopy was performed in all the patients with a success rate of 100%. No patient required emergent surgery. Four patients(28.6%) recurred and they were managed well by repeat colonoscopic restoration.

CONCLUSION:

Emergency colonoscopic restoration is the first treatment of choice for sigmoid vovulus in the elderly because it is safe and effective, and can be performed repeatedly.

PMID:
23268269
[PubMed - indexed for MEDLINE]
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